Application Of Health Education Based On The ITHBC In Functional Exercise Compliance Of Ischemic Stroke Hemiplegia Patients

ObjectiveTo explore the effects of health education based on the Integrated Theory of Health Behavior Change on the compliance of functional exercise and the Activities of Daily Living of Ischemic stroke hemiplegia patients.Aiming to promote the recovery of limb function of Ischemic stroke hemiplegia patients under the premise of ensuring the safety of patients.Methods1.66 cases of Ischemic stroke hemiplegia patients treated with the Department of Encephalopathy in a third-grade general hospital of Tianjin from May to November 2019 were selected in strict accordance with the exclusion criteria.The intervention group and the control group was 33 patients.Among them,the control group was given regular health education,and the intervention group received the health education based on ITHBC.The general information,Questionnaire of Exercise Adherence and Activities of Daily Living were measured respectively before intervention.Questionnaire of Exercise Adherence were measured 4 weeks out of the hospital and 12 weeks out of the hospital.Activities of Daily Living was collected 12 weeks out of the hospital.2.The data were sorted and analyzed by SPSS 21.0 statistical software.The research data is checked by two people.The main statistical methods used were descriptive analysis,chi-square test,t-test,repeated measures analysis of variance,etc,with ?=0.05(bilateral)The test level,P<0.05,was statistically significant.Results1.This study included 66 patients,33 patients in the intervention group and the control group,and 2 in the intervention group and 3 in the control group lost.Finally,61 cases were used for statistical analysis,31 cases in intervention group and the 30 cases in control group.There were no significant differences in the general information,Questionnaire of Exercise Adherence and Activities of Daily Living between the two groups before intervention(P>0.05).2.4 weeks out of the hospital and 12 weeks out of the hospital,the total scores of Questionnaire of Exercise Adherence(45.77±2.578)and(36.71±2.085)in the intervention group were higher than the total Questionnaire of Exercise Adherence scores of the control group(41.40±1.812),(34.33±1.953).The difference between the groups was statistically significant(P<0.001).After repeated measures analysis of variance,the differences were statistically significant at different time,group and interaction(P<0.001).3.4 weeks out of the hospital and 12 weeks out of the hospital,the total scores of Physical exercise compliance(25.84±0.898)and(21.00±0.966)in the intervention group were higher than the total Physical exercise compliance scores of the control group(23.17±0.913),(19.77±1.331).The difference between the groups was statistically significant(P<0.001).After repeated measures analysis of variance,the differences were statistically significant at different time,group and interaction(P<0.001).4.4 weeks out of the hospital and 12 weeks out of the hospital,the total scores of Exercise monitoring compliance(10.32±1.013)and(8.03±0.948)in the intervention group were higher than the total Exercise monitoring compliance scores of the control group(9.00±0.910),(7.20±0.961).The difference between the groups was statistically significant(P<0.05).After repeated measures analysis of variance,the differences were statistically significant at different time,group and interaction(P<0.05).5.4 weeks out of the hospital and 12 weeks out of the hospital,the total scores of Actively seek advice compliance(9.61±1.116)and(7.68±0.979)in the intervention group were higher than the control group(9.23±0.935),(7.37±1.066).The difference between the groups wasn't statistically significant(P>0.05).After repeated measures analysis of variance,the differences were statistically significant at different time(P<0.05),but weren't statistically significant at group and interaction(P>0.05).6.12 weeks out of the hospital,the scores of Activities of Daily Living(66.13±5.433)in the intervention group were higher than the scores of Activities of Daily Living(56.50±5.746)of the control group.The difference between the groups was statistically significant(P<0.05).Conclusions1.Health education based on health behavior change integration theory can improve Questionnaire of Exercise Adherence,Physical exercise compliance,Exercise monitoring compliance and Activities of Daily Living of Ischemic stroke hemiplegia patients.2.Health education based on health behavior change integration theory cann't improve Actively seek advice compliance of Ischemic stroke hemiplegia patients.